Recurrent leiomyosarcoma scrotum: An important differential in scrotal masses

Agrawal, Ranjan; Gupta, Miti; Mohan, Nitesh; Sharan, Jagdamba; Kumar, P.

doi:10.4103/ijpm.ijpm_391_16

Cited by 5 publications

(5 citation statements)

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“…The data for adjuvant therapy is limited, though adjuvant radiotherapy has been reported to reduce recurrences in some reports. [1,7] Our patient had a sub centimetric tumour. After discussion, we opted to follow up after surgery with adjuvant therapy.…”

Section: Discussion O F Ma N a G E Me N Tmentioning

confidence: 71%

“…Paratesticular LMSs originate from testicular tunica (48 %), spermatic cord (48 %), epididymis (2 %). [1] Topographically LMSs are divided into three groups: LMS of the deep soft tissue, LMS of the cutaneous and subcutaneous tissue, and LMS of vascular origin.…”

Section: Discussion O F Ma N a G E Me N Tmentioning

confidence: 99%

“…The literature on the management and prognosis of LMS arising from dartos muscle is limited to a few case reports. [1][2][3] They are mostly diagnosed between the 4th and 8th decades of life, presenting as painless lumps [2] and slowly growing skin lesions. [4] The differential diagnoses of scrotal sarcoma include liposarcoma, rhabdomyosarcoma, leiomyosarcoma, fibrosarcoma, malignant fibrous histiocytoma, desmoplastic round cell tumour.…”

Section: Discussion O F Ma N a G E Me N Tmentioning

confidence: 99%

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Recurrent Leiomyosarcoma Scrotum of Dartos Muscle - A Nonplussed Differential in Scrotal Swelling

Phinehas

Authy

2022

jemds

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A 63-year-old gentleman presented with 2 months history of painless, progressively increasing lump on the anterior surface of the left side of the scrotum. He had similar swelling 4 years back at the same site, following which he underwent surgical resection elsewhere and was told to have sarcoma. He could not produce health records of his previous treatment. The lump was a 2 × 2 cm in size subcutaneous in location, on the left hemiscrotum. It was non-tender, firm, and was not fixed to the testis or underlying structures. There was no inguinal lymphadenopathy. Ultrasound of the scrotum revealed a well defined heteroechoeic lesion 2 x2 cm in the left hemiscrotum. A contrast-enhanced computed tomography scan from neck to pelvis showed no distant metastases.

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Section: Discussion O F Ma N a G E Me N Tmentioning

confidence: 71%

Section: Discussion O F Ma N a G E Me N Tmentioning

confidence: 99%

Section: Discussion O F Ma N a G E Me N Tmentioning

confidence: 99%

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Recurrent Leiomyosarcoma Scrotum of Dartos Muscle - A Nonplussed Differential in Scrotal Swelling

Phinehas

Authy

2022

jemds

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“…Local recurrence or metastasis to lymph nodes have been reported. Repeat resection is feasible (16,17). In patients who underwent reoperative wide resection after a prior incomplete resection, a trend toward improved diseasefree survival was noted (16).…”

Section: Discussionmentioning

confidence: 99%

Leiomyosarcoma of the scrotum: a case report and literature review

et al. 2021

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Leiomyosarcoma (LMS) is one of the most common forms of soft tissue sarcoma with approximately 2,500 cases per year in the United States. The symptoms LMS vary depending upon the location, size, and spread of the tumor. In early stages, it may not be associated with any obvious symptoms so diagnosis and treatment may be delayed. In some cases, it can grow quickly and behave aggressively. Most types of LMS occur in the abdomen or in the uterus; although, scrotal LMS can be a very rare presentation of the disease. Here we present our case of a large, ulcerated scrotal LMS originating from subcutaneous tissue but not invading spermatic cord or tunica. Radical orchiectomy with high ligation of spermatic cord was performed, and patient had an uneventful postoperative course. This disease entity remains rare in the literature, and warrants larger studies in order to better understand treatment and oncologic outcomes.When LMS is identified early and is removed by surgical excision, prognosis can be good and full recovery quite likely. When LMS is already large or has spread to other parts of the body, treatment is relatively more complex and the prognosis poor. Hence, prompt diagnosis and treatment of genitourinary LMS require prompt attention, referral to tertiary, referral center should be strongly considered.

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“…1,8 In the present case, the patient did not consent to adjuvant treatment and was followed up. Loco-regional recurrence patterns which are reported in the literature include the following: scrotal, 14,15 inguinal and retro peritoneal, 13 and even gastrointestinal mucosal metastases. 16 Despite not treating adjuvant, fortunately, the present patient did not recur or metastasize during the follow-up period.…”

Section: Discussionmentioning

confidence: 99%